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What proportion of care home outbreaks are caused by norovirus? An analysis of viral causes of gastroenteritis outbreaks in care homes, North East England, 2016–2018

BMC Infectious Diseases Jan 08, 2020

Inns T, et al. - Researchers sought to describe the epidemiology of norovirus and other gastrointestinal pathogens in care homes for the elderly as outbreaks of infectious gastroenteritis are common in these settings. Surveillance data revealed 566 care home gastroenteritis outbreaks in North East England from July 4, 2016, to July 1, 2018. The most frequently isolated pathogen was norovirus; it was detected in 64% of outbreaks with a pathogen identified. Sapovirus was found in 13%; rotavirus in 11%. Relative to outbreaks caused by other viral pathogens, norovirus outbreaks were noted to be associated with higher attack rates and fewer cases sampled. These findings emphasize the value of non-specific outbreak interventions such as good hygiene, prompt reporting and strong infection control procedures that can modify the consequence of all such outbreaks. However, interventions targeting specifically norovirus (such as a norovirus vaccine) could prevent up to two-thirds of outbreaks, that is linked with the highest attack rates.
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